Individual
CODI ANN JENSHAK-GORZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
N15887 S ROAD K, POWERS, MI 49874-9622
(906) 399-5858
Mailing address
N15887 S ROAD K, POWERS, MI 49874-9622
(906) 399-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704334765
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704334765
—
MI
Enumeration date
06/07/2022
Last updated
06/07/2022
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